Individual
MEREDITH REBECCA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
107 ZANARK CT, COLUMBIA, SC 29212-1036
(803) 381-8016
Mailing address
107 ZANARK CT, COLUMBIA, SC 29212-1036
(803) 381-8016
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
97027
SC
163WM0102X
Maternal Newborn Registered Nurse
97027
SC
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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